Use this form to request changes for a Purchase Order. These changes may include canceling
lines, increasing amounts, and changing indexes (See Section 2 below). All sections
must be filled out completely. After Purchasing has reviewed your request, an e-mail
will be sent to the address indicated with information regarding this request. If
you have any questions, please contact Purchasing at 8301.
Please select a change type from the list below.
Cancel PO in its entiretyCancel PO line itemClose PO remaining balanceChange line item description, qty, or unit priceChange amount on Standing POChange Index on PO
Indicate the lines that need to be canceled
Indicate the lines that need to be changed. Please fill out the entire row for each
item that needs to be changed.
Indicate the requested change to the amount on the Standing Purchase Order.
Indicate the changes that need to be made to the account information on the Purchase
Order. The Purchase Order will be changed to the Index(es) listed in the New Index(es)
Provide an explanation for this change. If requesting a cancelation, provide verification
that the order has been canceled with the vendor. You can also include additional
information Purchasing will need to complete this change order.
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